Telemonitoring of Activities of Daily Living in Home Care Services of Older Adults with Cognitive Deficits

University Institute of Geriatrics of Montreal (IUGM)

Status: Not yet enrolling

Conditions: Dementia

Treatments: Other: Telemonitoring of ADL

Study type: Interventional

Funder types: Other

Identifiers

NCT06888713

PJT-195697

Details and patient eligibility

About

In Canada, it is estimated that two million people are users of publicly funded home care services, with more than half of them being 65 years and older. Although home care services are considered a priority by Canadian provinces, in Québec alone, more than 46 000 people were waiting for those services in 2022. The provision of home care services is hampered by limited funding and growing demand from among an aging population, among other factors. These challenges have led to urgent calls to better support home care in Canada to ensure optimal use of scarce human and financial resources. One of the key strategies to achieve optimal use of resources may be remote monitoring of activities of daily living (ADLs), a type of telehealth. ADL telemonitoring can remotely recognize ADLs such as preparing meals and moving around the home. Past studies have shown that ADL telemonitoring can help in better understanding older adults' home care needs, thereby allowing for more personalized ADL interventions. Previous projects have also allowed for the developement of NEARS-SAPA, a telemonitoring system for ADLs. In these past projects, it was identified how NEARS-SAPA was used by home care services and its ease of use was tested in real environments. In the present project, the benefits of ADL telemonitoring will be tested and its technological capabilities expanded, hence preparing the system for the next big step, i.e. large-scale adoption by home care services. Ultimately, ADL telemonitoring may help the healthcare system determine which service is more appropriate for which person and at what time, thereby optimizing interventions and resource management.

Enrollment: 200 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. be an older adult (> 65 years old), 2) have cognitive deficits as reported in the medical record, 3) live alone, at home, 4) be a care recipient of home care services, 5) speak French or English

Exclusion criteria

• None

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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200 participants in 2 patient groups

Telemonitoring of ADL group

Experimental group

Description:

Will receive the technology in their home to document if it influenced the homecare services plan.

Treatment:

Other: Telemonitoring of ADL

No telemonitoring of ADL

No Intervention group

Description:

Another group will be followed in therms of homecare services received, but without the technology. The control group will be gathered based on archives data only.